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| Mina Saeednejad,Mohammadreza Zafarghandi,Narjes Khalili,Vali Baigi,Moein Khormali,Zahra Ghodsi,Mahdi Sharif-Alhoseini,Gerard M. O’Reilly,Khatereh Naghdi,Melika Khaleghi-Nekou,Seyed mohammad Piri,Vafa Rahimi-Movaghar,Somayeh Bahrami,Marjan Laal,Mahdi Mohammadzadeh,Esmaeil Fakharian,Habibollah Pirnejad,Hamid Pahlavanhosseini,Payman Salamati,Homayoun Sadeghi-Bazargani.[J].Chin J Traumatol,2021,24(3):153-158. [doi] |
| Evaluating mechanism and severity of injuries among trauma patients admitted to Sina Hospital, the National Trauma Registry of Iran |
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| DOI： |
| KeyWord: Wounds and injuriesMultiple traumaAbbreviated injury scaleInjury severity scoreRegistries |
| FundProject: |
| Author Name | Affiliation | | Mina Saeednejad | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Mohammadreza Zafarghandi | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Narjes Khalili | Preventive Medicine and Public Health Research Center, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran | | Vali Baigi | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Moein Khormali | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Zahra Ghodsi | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Mahdi Sharif-Alhoseini | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Gerard M. O’Reilly | National Health and Medical Research Council (NHMRC), Australia, National Trauma Research Institute, The Alfred Hospital and Monash University, Melbourne, Australia | | Khatereh Naghdi | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Melika Khaleghi-Nekou | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Seyed mohammad Piri | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Vafa Rahimi-Movaghar | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Somayeh Bahrami | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Marjan Laal | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Mahdi Mohammadzadeh | Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran | | Esmaeil Fakharian | Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran | | Habibollah Pirnejad | Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran | | Hamid Pahlavanhosseini | Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IR, Iran | | Payman Salamati | Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran | | Homayoun Sadeghi-Bazargani | Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran |
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| Abstract: |
| Purpose: Injuries are one of the leading causes of death and lead to a high social and financial burden. Injury patterns can vary significantly among different age groups and body regions. This study aimed to evaluate the relationship between mechanism of injury, patient comorbidities and severity of injuries.
Methods: The study included trauma patients from July 2016 to June 2018, who were admitted to Sina Hospital, Tehran, Iran. The inclusion criteria were all injured patients who had at least one of the following: hospital length of stay more than 24 h, death in hospital, and transfer from the intensive care unit of another hospital. Data collection was performed using the National Trauma Registry of Iran minimum dataset.
Results: The most common injury mechanism was road traffic injuries (49.0%), followed by falls (25.5%). The mean age of those who fell was significantly higher in comparison with other mechanisms (p < 0.001). Severe extremity injuries occurred more often in the fall group than in the vehicle collision group (69.0% vs. 43.5%, p < 0.001). Moreover, cases of severe multiple trauma were higher amongst vehicle collisions than injuries caused by falls (27.8% vs. 12.9%, p = 0.003).
Conclusion: Comparing falls with motor vehicle collisions, patients who fell were older and sustained more extremity injuries. Patients injured by motor vehicle collision were more likely to have sustained multiple trauma than those presenting with falls. Recognition of the relationship between mechanisms and consequences of injuries may lead to more effective interventions. |
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